Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $29.34 / $43.62	Facility		$23.47	$29.34	$43.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.57 / $76.88	Professional		$16.04	$18.57	$76.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $50.86 / $53.79	Facility		$42.05	$50.86	$53.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $80.93	Professional		$9.66	$9.66	$80.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $53.11 / $55.19	Facility		$14.91	$53.11	$55.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.67 / $59.85	Professional		$22.30	$52.67	$59.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $23.47	Facility		$17.42	$17.42	$23.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $17.60 / $241.00	Facility		$16.04	$17.60	$241.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $19.55 / $54.18	Professional		$11.74	$19.55	$54.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $53.99 / $85.00	Professional		$9.77	$53.99	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $23.47	Facility		$17.42	$17.42	$23.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $47.52 / $89.19	Professional		$23.90	$47.52	$89.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $50.00 / $241.00	Facility		$39.11	$50.00	$241.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $12.90 / $19.07	Professional		$10.37	$12.90	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $41.65	Professional		$20.12	$20.12	$41.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $106.80	Professional		$20.12	$20.12	$106.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $16.10 / $53.60	Professional		$11.34	$16.10	$53.60